摘要
目的 探讨基于预见性护理理论的精细化管理方案在超早产儿中的应用效果。方法 采用便利抽样法,选取2020年1月至2022年12月住院治疗的120例超早产儿为研究对象,将2020年1月至2021年6月的57例超早产儿作为对照组,2021年7月至2022年12月的63例超早产儿作为观察组。对照组实施常规护理,观察组实施基于预见性护理理论制订的精细化护理措施,比较两组超早产儿低体温、医源性皮肤损伤、重度颅内出血、坏死性小肠结肠炎、重度早产儿视网膜病发生率及住院时长。结果 观察组超早产儿低体温、医源性皮肤损伤、重度颅内出血、坏死性小肠结肠炎、重度早产儿视网膜病发生率低于对照组,住院时长较对照组缩短,差异有统计学意义(P<0.05)。结论 基于预见性护理理论的精细化管理模式可缩短超早产儿住院时长,降低相关并发症,提高救治质量,临床可推广应用。
Objective To explore the application effect of refined management program based on predictive nursing theory in extremely preterm infants.Methods Convenience sampling was used to select 120 extremely preterm infants who were hospitalized for treatment as the study subjects from January 2020 to December 2022.A total of 57 extremely preterm infants from January 2020 to June 2021 were chosen as the control group,and 63 extremely preterm infants from July 2021 to December 2022 were chosen as the observation group.The control group received routine nursing care,while the observation group received a refined nursing measures based on predictive nursing theory.The two groups were compared in terms of the incidence of hypothermia,iatrogenic skin injury,intracranial hemorrhage,retinopathy of prematurity,necrotizing enterocolitis,and duration of hospitalization.Results The incidence of hypothermia,iatrogenic skin injury,intracranial hemorrhage,retinopathy of prematurity,and necrotizing enterocolitis in the observation group were lower than those in the control group.The duration of hospitalization was shortened than the control group,and the difference was statistically significant(P<0.05).Conclusion The refined management model based on the predictive nursing theory can shorten the hospitalization time of preterm infants,reduce related complications,improve the quality of treatment,and can be promoted and applied clinically.
作者
程莉萍
张岚
李秋平
李磊
王凤
王自珍
胡晚霞
曹旭峰
施金芬
CHENG Liping;ZHANG Lan;LI Qiuping;LI Lei;WANG Feng;WANG Zizhen;HU Wanxia;CAO Xufeng;SHI Jinfen(Neonatal Intensive Care Unit,the Seventh Medical Center,General Hospital of People's Liberation Army,Beijing 100700,China;Nursing Department,the Seventh Medical Center,General Hospital of People's Liberation Army,Beijing 100700,China;Department of Ultrasound,the Seventh Medical Center,General Hospital of People's Liberation Army,Beijing 100700,China)
出处
《护理管理杂志》
CSCD
2024年第11期997-1001,共5页
Journal of Nursing Administration
基金
解放军总医院军事医学科研项目(QNF19047)。
关键词
预见性护理
精细化管理
超早产儿
并发症
predictive nursing
refined management
extremely preterm infant
complication
